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Med Mal News

By ALM Staff | Law Journal Newsletters |

2011 Health Care Fraud Recoveries Top $4 Billion

In a Feb. 14 report to Congress, the U.S. Department of Justice (DOJ) tallied its successes in investigating and prosecuting health care fraud in 2011. As a result of these achievements, last year 743 defendants were convicted of crimes related to health care fraud, and the federal government recovered a total of $4.1 billion in judgments, civil penalties and settlements. Among those convicted was a Florida doctor who diagnosed almost all his patients with a rare blood disorder, which he treated with expensive medications in order to receive Medicare reimbursements. A California defendant was found guilty of recruiting approximately 200 Medicare recipients off the streets and telling them that if they gave her their Medicare information she could get them expensive power wheelchairs that they neither needed nor wanted. And the co-owner of two Michigan nerve conduction clinics was convicted of a Medicare fraud scheme involving payments to recruiters for bringing patients to the clinics for unnecessary tests. The report is available at: http://oig.hhs.gov/publications/docs/hcfac/hcfacreport2011.pdf

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